Make the Diagnosis: Strange Rash Surfaces

Presentation

Case Findings: A 20-year-old man went to the doctor complaining of a fever. He had been hiking recently with friends and had gotten a significant number of insect bites, which he had been scratching non-stop – particularly one on his hand, which had become quite red. An erythematous rash in a linear configuration had spread up his arm. Upon exam, the doctor noted regional lymphadenopathy.

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